Esophageal perforation following anterior cervical spine surgery

The authors surveyed the Cervical Spine Research Society to compile a series of esophageal perforations following anterior cervical spine surgery. Twenty-two cases were assembled. Six occurred at the time of surgery, 6 in the postoperative period, and 10 weeks to months later. Eight surgeries were b...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1989-10, Vol.14 (10), p.1051-1053
Main Authors: Newhouse, K E, Lindsey, R W, Clark, C R, Lieponis, J, Murphy, M J
Format: Article
Language:English
Subjects:
Adult
Cervical Vertebrae - surgery
Esophageal Perforation - epidemiology
Esophageal Perforation - etiology
Female
Humans
Intraoperative Complications - epidemiology
Male
Orthopedic Fixation Devices - adverse effects
Spinal Fusion - adverse effects
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Summary:The authors surveyed the Cervical Spine Research Society to compile a series of esophageal perforations following anterior cervical spine surgery. Twenty-two cases were assembled. Six occurred at the time of surgery, 6 in the postoperative period, and 10 weeks to months later. Eight surgeries were because of fracture. Hardware was implicated in 25% of cases occurring after surgery. Diagnosis was confirmed most often by direct vision at reexploration or esophography. Treatment usually consisted of drainage, repair, and parenteral antibiotics; 2 cases were successfully treated by enteral feeding and antibiotics alone. There was one fatality, and all patients required prolonged hospitalization. Cervical fracture and the use of hardware may be associated with this complication. Clinical suspicion and esophography are important diagnostic tools. Drainage and parenteral antibiotics are recommended treatment.
ISSN:0362-2436
DOI:10.1097/00007632-198910000-00004